Spanish National Registry of ANAstomotic Leakage in CAncer of the REctum (ANACARE)

Primary Endpoint: The main objective of this National Registry is to identify the incidence and to analyse the risk factors for anastomotic leakage in rectal cancer surgery From the operational point of view, the aim of this Registry is to systematize the collection of information on the different surgical services. This Registry claims to have National audit functions, allowing thus the knowledge of the procedures performed at each center that could enable the establishment of the best standard of care. Secondary Endpoints: To determine the real incidence of anastomotic leakage according to the different locations and techniques: uniform definition of anastomotic leakage. To analyze the preoperative risk factors of anastomotic leakage: PATIENT FACTOR. To analyse the variability in the practice of rectal anastomosis: SURGEON FACTOR. To analyse the influence of different stapling devices in rectal anastomosis: INSTRUMENTAL FACTOR To know the current treatment of anastomotic leakage and the associated morbidity and mortality. To create and validate an anastomotic leakage predictive Score.

Sex

All

Minimum age

18 Years

Inclusion Criteria:

1. Patient with not less than 18 years.
2. Patients who are to undergo surgery for rectal cancer (within 15cm from the anal margin by rigid colonoscopy), elective, resected with local curative intent (R0 and R1) and anastomosis with or without proximal stoma .
3. Patient permit registration information of the surgical procedure, which has been submitted by signing the written informed consent.

Exclusion Criteria:

1. Patients underwent the following procedures:

   * No resected.
   * Local resection= R2.
   * Resection without anastomosis
2. Patients participating in a clinical trial that would alter this trial.
3. Patients who are lacking basic relevant information to complete the requested data in the registry.